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General NPI Number Information
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NPI Number | 1699222364
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Entity Type | Individual
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Provider Name | BRIDGET KAY LITTRELL PT, DPT, CLT
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Gender | Female
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 7061 COMMONS PLZ STE A
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City | CHESTERFIELD
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State | VA
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Zip | 23832-6462
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Country | US
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Telephone | 804-717-2145
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Fax |
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Provider Business Mailing Address
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Address Line | 233E BELL FORK RD
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City | JACKSONVILLE
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State | NC
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Zip | 28540-6471
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305212251
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License Number State | VA
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